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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 455002932
Report Date: 07/27/2023
Date Signed: 07/27/2023 12:20:42 PM


Document Has Been Signed on 07/27/2023 12:20 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:HILLTOP SPRINGS SENIOR LIVINGFACILITY NUMBER:
455002932
ADMINISTRATOR:OLSON, DENISEFACILITY TYPE:
740
ADDRESS:7 HILLTOP DRTELEPHONE:
(503) 391-9999
CITY:REDDINGSTATE: CAZIP CODE:
96003
CAPACITY:211CENSUS: DATE:
07/27/2023
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:29 AM
MET WITH:Denise Olson AdministratorTIME COMPLETED:
12:30 PM
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07/27/2023 10:00 AM Licensing Program Analysts (LPA’s) Sarah Benson and Rebecca Knight arrived at the facility to conduct their scheduled pre-licensing inspection. LPA ‘s met with administrator Denise Olsen Larry Wright Marketing, Mallory Dacosta Vice President of Operations and explained the purpose of the visit.

Comp 3 was presented by LPA’s to licensee during the visit.

The fire marshal has approved the fire safety inspection request. The facility is licensed for 196 non-ambulatory residents and 16 bed ridden residents for a total capacity of 211. This is a newly constructed facility with no residents in care at the time of the pre-licensing visit.

The facility has a memory care unit that has number (32) bedrooms and number (32) bathrooms. The facility also has an assisted living section that has number (87) bedrooms and number (87) bathrooms.

The inside of the facility was observed to be in good condition and repair. LPA’s observed dining area with sufficient tables and chairs for residents. LPA ‘s observed common areas.

The hot water meets the requirement for licensing within a range of 105 - 120 degrees F.

Food storage meets Title 22 regulation requirements. Plates, utensils, pots, and pans were in place during the inspection. Dishwasher, stove, microwave and refrigerator were all present and working.

Bedrooms were observed to have furniture as required by Title 22 Regulations. All beds were made up with linens and bedspreads. Each bedroom has ample storage. The facility has a linen closet which contains sheets, pillowcases, towels and face cloths. Bathrooms were observed to be in good repair.

The facility has a locked medication cart which is located in the locked medication room.

Storage and lighting are adequate in the facility. Cleaning supplies and toxins are locked in janitorial rooms. Knives are locked up in the kitchen. Washers and dryers observed in place and ready for use.

The facility has 32 FIRE EXTINGUISHERS fully charged fire extinguishers which were inspected by the fire marshal. LPA observed smoke alarms and carbon monoxide detectors fully functioning.


There is a locking office space where client and staff files will be stored.

The back yard has a nice, shaded structure for residents to use.

The applicants have passed the pre-licensing portion of the application process. LPA will contact the Central Application Bureau.

No deficiencies according to CCR Title 22, Division 6. Exit Interview and copy of report was provided to the licensee..

SUPERVISOR'S NAME: Lauren CrockerTELEPHONE: (916) 261-4966
LICENSING EVALUATOR NAME: Sarah BensonTELEPHONE: 530-895-5033
LICENSING EVALUATOR SIGNATURE:
DATE: 07/27/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 07/27/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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